High Staff Turnover in Nursing Homes Linked to Decreased Quality of Care

If nursing homes want to improve quality of care, it is imperative that they reduce staff turnover, and focus their efforts more on retention than recruitment. This is according to a JAMA study released Monday, which also revealed that the average annual turnover rate in nursing homes was as high as 128%, indicating a revolving […]

SNF Use Up with 3-Day Stay Waiver, But Faster Discharges, No Major Cost Increases

Stays at skilled nursing facilities without a prior hospital stay increased dramatically during the pandemic, but patient care costs did not see a major increase. That’s according to a new study published in the Journal of the American Medical Association (JAMA). The study also found that SNF stays were linked with “potentially” faster discharge for […]

Couldn’t Have Happened at a Worse Time: Nursing Homes Struggle to Increase Booster Rates as Covid Surges

As nursing home operators find themselves in the middle of a tripledemic – with Covid-19 cases, respiratory syncytial virus (RSV) and the flu on the rise during winter months – concerted efforts to get staff and residents boosted against Covid have fallen by the wayside. And nursing home operators dealing with staffing shortages and burnout, […]

Hurricane Ian Hits Nursing Homes Already Beset By Staffing Crisis

Florida nursing homes, already strapped for staff while the sector continues to face a historic workforce crisis on a national level, now are enduring Hurricane Ian and bracing for its aftermath. The storm was making its way north and across the state on Wednesday. The Florida Health Care Association (FHCA) said facilities have been preparing […]

White House Throws Its Weight Behind SNF Value-Based Purchasing Expansion, with Staffing Measures Targeted

The value-based purchasing program (VBP) available to skilled nursing facilities, while garnering the attention of the Biden administration in its sweeping reform initiatives, was already under the microscope with federal agencies. The Centers for Medicare & Medicaid Services (CMS) already has been authorized to apply nine measures to the program in adherence with the Consolidated […]

Nursing Home Staffing Shortage is a ‘Crisis on Top of a Crisis’

Skilled nursing workers are in the midst of a mass exodus from the profession, and not even unprecedented wage increases can compensate for the concerns of the 238,000 caregivers who have left the industry since the start of the COVID-19 pandemic. The combination of workload, environment, culture and the physical and emotional strain exacerbated an […]

No Viable Path for Many SNFs to Improve, Avoid Penalties in Value-Based Purchasing

The value-based purchasing program (VBP) may not be offering sufficient incentives for nursing homes to improve, particularly for low-performing facilities in areas with underserved populations. Only 0.7% of poor-performing skilled nursing facilities were able to improve enough to avoid a financial penalty under VBP, a JAMA study found – the program didn’t “offer a viable […]

The Trends That Will Shape Skilled Nursing in 2022

The COVID-19 pandemic continued to put pressure on an already strained skilled nursing industry in 2021. The next 12 months will be yet another test of resilience. Looking ahead to 2022, SNFs must stay nimble and inventive to not only survive but thrive. Private equity will continue to lead the nursing home transaction market pack, […]

Private Equity Ownership Linked to Higher Medicare Costs, Increased Hospitalization

Private equity acquisition of nursing homes is tied to increases in emergency room visits, hospitalizations and higher Medicare costs, according to a recently published JAMA Health Forum study. The study found PE firm-owned nursing homes were 11.1% more likely to have an acute coronary syndrome (ACS) emergency department (ED) visit and 8.7% more likely to […]

Voluntary Bundled Payments May Not Help Cut Post-Acute Spending

Voluntary bundled payment programs might not be the best way of tackling spending on post-acute care (PAC), at least according to a research letter in the Journal of the American Medical Association. In fact, just 3.7% of PAC organizations took part in Model 3 of the Bundled Payments for Care Improvement (BPCI) initiative, which targets PAC […]

Facilities Grab Increased Share of Hospital Discharges

Despite concerns about the rise of home health in the era of value-based care, institutional post-acute care (PAC) use among Medicare beneficiaries actually rose between 2000 and 2015 — while discharges to the home fell over the same time period, according to a research letter published in JAMA. Specifically, the adjusted percentage of nearly 138 […]

Nursing Home Residents Lack Palliative Care Access, Study Finds

Only a very small percentage of nursing home residents who would benefit from palliative care typically receive it, according to a new study released Monday by the Journal of the American Medical Association (JAMA). The researchers, which included representatives from the University of California, San Francisco and the San Francisco Veterans Affairs Medical Center, analyzed […]